Claim total
$14,081.98
base $93.83 · payer covered $11,265.58
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-08-16
- Stop
- 2014-08-16
The parties
- Patient
- patient Tanner Emile Stehr
- Provider
- provider Samuel Boyle
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Medicare
Record id
04510aef-c62e-a77f-3555-9b9e8600fb56